Active NPI
Jorge L Serrat, M.D.
- Pediatric Endocrinology Physician
- Pembroke Pines, FL
National Provider Identifier
1497810949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- ME61674
- Practice address
- 650 NW 180TH Ter
Suite 101
Pembroke Pines, FL 33029-2825 - Phone
- (954) 392-1880
- Fax
- (954) 392-1088
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | ME61674 | FL | Primary |
Addresses
Primary practice location
650 NW 180TH Ter
Suite 101
Pembroke Pines, FL 33029-2825
Mailing address
650 NW 180TH Ter
Suite 101
Pembroke Pines, FL 33029-2825
Phone (954) 392-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61674 | FL | MD | Pediatric Endocrinology Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCHDAD/Endpoint/JCHDAD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1497810949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NW 180TH TER",
"address_2": "SUITE 101",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292825",
"telephone_number": "954-392-1880",
"fax_number": "954-392-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NW 180TH TER",
"address_2": "SUITE 101",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292825",
"telephone_number": "954-392-1880",
"fax_number": "954-392-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRAT",
"first_name": "JORGE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "FL",
"license": "ME61674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.